| Dr Ephraim E Dagadu, MD | |
|
9832 York Road, Suite F, Cockeysville, MD 21030-4936 | |
| (410) 628-1861 | |
| (410) 628-1862 |
| Full Name | Dr Ephraim E Dagadu |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 9832 York Road, Cockeysville, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780773010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D32012 (Maryland) | Primary |
| Entity Name | Mnr Industries Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457478703 PECOS PAC ID: 7416908843 Enrollment ID: O20050204000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ephraim E Dagadu, MD 9832-f York Road, Cockeysville, MD 21030-4936 Ph: (410) 628-1861 | Dr Ephraim E Dagadu, MD 9832 York Road, Suite F, Cockeysville, MD 21030-4936 Ph: (410) 628-1861 |
Mrs. Kirsten Gaskin, C.R.N.P. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10155 York Rd, Ste 200, Cockeysville, MD 21030 Phone: 410-628-2026 Fax: 410-667-6834 | |
Dr. Ariane K Cometa, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10151 York Rd, Ste 120, Cockeysville, MD 21030 Phone: 410-666-0804 Fax: 410-666-0979 | |
Mr. Ronald Lee Broadwater Sr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12 Brecon Pl, Ste 400, Cockeysville, MD 21030 Phone: 443-281-8086 Fax: 443-281-8117 | |
Mary A Rackson, CRNP Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 10155 York Rd, Ste 200, Cockeysville, MD 21030 Phone: 410-628-2026 Fax: 410-628-6507 | |
Nidhi Jayant Desai, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 534 Rhapsody Ct, Cockeysville, MD 21030 Phone: 917-622-5440 |